<div class="row">

    <div class="col-md-12">       

        <div class="block">
            <div class="block-title">
                <h2><strong>Formulario de Colegiados</strong> </h2>
            </div>

            <?php echo $this->Form->create('User', array('class' => 'form-horizontal form-bordered')); ?>	    
            <fieldset>
                <!--<legend><i class="fa fa-angle-right"></i> Vital Info</legend>-->
                <div class="form-group">
                    <label class="col-md-2 control-label" for="data[User][recibo]">No. R.N.I<span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">

                            <input type="text"  name="data[User][rni]" class="form-control" placeholder="Inserte el numero de R.N.I." />

                            <span class="input-group-addon"><i class="gi gi-asterisk"></i></span>
                        </div>
                    </div>

                    <label class="col-md-2 control-label" for="data[User][fecha_asignacion]">Fecha <span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text"  name="data[User][fecha_asignacion]" class="form-control input-datepicker" data-date-format="yyyy-mm-dd" placeholder="mm/dd/yy" />
                            <span class="input-group-addon"><i class="hi hi-calendar"></i></span>
                        </div>
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-md-2 control-label" for="data[User][ap_paterno]">Apellido Paterno <span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text"  name="data[User][ap_paterno]" class="form-control" placeholder="Inserte el Apellido Paterno" required/>
                            <span class="input-group-addon"><i class="gi gi-user"></i></span>
                        </div>
                    </div>

                    <label class="col-md-2 control-label" for="data[User][ap_materno]">Apellido Materno <span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text" name="data[User][ap_materno]" class="form-control" placeholder="Inserte el Apellido Materno" required/>
                            <span class="input-group-addon"><i class="gi gi-user"></i></span>
                        </div>
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-md-2 control-label" for="data[User][nombres]">Nombres <span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text"  name="data[User][nombres]" class="form-control" placeholder="Inserte su Nombre" required/>
                            <span class="input-group-addon"><i class="gi gi-user"></i></span>
                        </div>
                    </div>

                    <label class="col-md-2 control-label" for="data[User][fechatitulo]">Fecha de Titulo <span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text"  name="data[User][fechatitulo]" class="form-control input-datepicker" data-date-format="yyyy-mm-dd" placeholder="yyyy-mm-dd" />
                            <span class="input-group-addon"><i class="hi hi-calendar"></i></span>
                        </div>
                    </div>
                </div>

                <div class="form-group">

                    <label class="col-md-2 control-label" for="data[Uer][role]"> Rol:<span class="text-danger">*</span></label>
                    <div class="col-md-3">
                        <div class="input-group">
                            <input type="text"  name="data[User][role]" class="form-control" placeholder="..." required/>
                            <span class="input-group-addon"><i class="gi gi-group"></i></span>
                        </div>
                    </div>


                    <div class="form-group">
                        <label class="col-md-2 control-label">Genero<span class="text-danger">*</span></label>  
                        <div class="col-md-3">
                            <div class="radio">
                                <label for="data[User][genero]">
                                    <input type="radio" id="example-radio1" name="data[User][genero]" value="masculino" /> Masculino
                                </label>
                            </div>
                            <div class="radio">
                                <label for="data[User][genero]">
                                    <input type="radio" id="example-radio2" name="data[User][genero]" value="femenino" /> Femenino
                                </label>
                            </div>

                        </div>  


                        <div class="form-group">
                            <label class="col-md-2 control-label" for="data[User][observaciones]">Observaciones <span class="text-danger">*</span></label>
                            <div class="col-md-3">
                                <div class="input-group">
                                    <textarea  name="data[User][observaciones]" rows="9" cols="50" class="form-control" placeholder="Inserte alguna Observacion"></textarea>
                                    <span class="input-group-addon"><i class="gi gi-folder_open"></i></span>
                                </div>
                            </div>
                        </div>
                        
                            </fieldset>

                            <div class="form-group form-actions">
                                <div class="col-md-8 col-md-offset-4">
                                    <button type="submit" class="btn btn-sm btn-primary"><i class="fa fa-arrow-right"></i> Guardar</button>
                                    <button  class="btn btn-sm btn-warning"><i class="fa fa-repeat"></i> Limpiar</button>

                                </div>
                            </div>


                        </div>
                    </div>    
                </div>